Individual
ISHA KOROMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(844) 459-7529
Mailing address
2110 S 72ND ST, PHILADELPHIA, PA 19142-1027
(484) 375-3335
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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